Official Course Description: MCCCD Approval: 10/26/93
NUR208 19942-19966	LEC LAB	4 Credit(s) 5 Credit(s)	4 Period(s) 15 Period(s)
Nursing Process III
Holistic approach using nursing process to present complex communication techniques, evaluate status of mental health/illness, review normal obstetrics and pathology associated with deviations from normal, and advanced pathophysiology associated with selected body systems. Also includes integration of growth and development throughout the lifespan, pharmacology, health promotion and cultural and ethnic considerations. Clinical experiences structured for planning and delivery of client care in psychiatric, obstetric and medical/surgical areas and for beginning role development of registered nurse responsibilities and skills. Prerequisites: NUR109, BIO202, and ENG101.

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MCCCD Official Course Competencies:
NUR208   19942-19966	Nursing Process III

1.	Apply knowledge of fluid status to correct imbalances in electrolyte and acid base deviation. (I)
2.	Analyze the pathophysiology, diagnosis and treatment modalities, pharmacology and potential complications, rehabilitation and client education related to selected body systems. (II)
3.	Apply the nursing process to total client care throughout the lifespan. (III)
4.	Plan, implement, and evaluate client care based on nursing assessment. (III)
5.	Prioritize client problems based on assessment of findings. (III)
6.	Evaluate developmental, holistic, cultural and ethnic considerations and techniques that affect the individualization of client care. (IV)
7.	Apply pre-clinical concepts in psychiatric simulations and/or practice settings. (V)
8.	Apply the concepts of therapeutic communication within nurse/patient relationships that occur after structuring the therapeutic milieu. (VI)
9.	Apply advanced concepts of pathophysiology, diagnosis, treatment modalities, pharmacologic considerations, and nursing care for selected psychiatric disorders. (VII)
10.	Apply the nursing process to total client care for psychiatric clients throughout the lifespan. (VII)
11.	Apply clinical transition concepts in simulations and/or clinical practice. (VIII)
12.	Evaluate the developmental, holistic, cultural and ethnic considerations that affect the individualization of psychiatric client care. (VIII)
13.	Apply knowledge of nursing care concepts in antepartum, intrapartum, post partum and neonatal areas. (IX)
14.	Analyze the nutritional needs of mother and infant. (IX)
15.	Apply pharmacologic principles with perinatal drugs. (IX)
16.	Describe expanding nursing roles in perinatal health. (IX)
17.	Apply specialized assessment techniques for high-risk maternal, fetal and neonatal clients. (X)
18.	Analyze the pathophysiology, diagnosis, treatment modalities, nursing care, and client and family educational needs for selected perinatal conditions. (X)
19.	Apply the nursing process to the childbearing family. (XI)
20.	Analyze contemporary ethical and social issues in perinatal care. (XII)
21.	Evaluate cultural and ethnic considerations in caring for the high-risk perinatal client and family. (XII)
22.	Describe individual and family stress adaptation patterns focusing on loss and grief in the perinatal period. (XII)
23.	Analyze the special needs of the adolescent pregnant woman and her family. (XII)

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MCCCD Official Course Outline:
NUR208   19942-19966	Nursing Process III

I. Advanced Concepts Related to Fluid Status A. Fluid and Electrolyte Balances and Imbalances B. Acid-Base Balance and Imbalances C. Parenteral Therapy II. Advanced Concepts of Selected Body Systems A. Pathophysiology of Selected Body Systems 1. Renal System 2. Gastro-Intestinal System B. Treatment Modalities and Diagnostic Tests C. Pharmacology D. Potential Complications E. Acute and Rehabilitative Phases F. Client and Family Education G. Legal and Ethical Issues III. Applications of Nursing Process to Predict and Manage Total Client Care in Health and Illness A. Assessment B. Nursing Diagnosis C. Planning D. Implementation E. Evaluation IV. Individualization of Client Care A. Development/Life Span Considerations B. Cultural and Ethnic Considerations C. Holistic (Biological, Psychological, Social, and Spiritual) Considerations D. Therapeutic Communication Techniques V. Pre-Clinical Concepts of Psychiatric Nursing A. Grief and Mourning B. Death and Dying C. Crisis Intervention D. General Adaptation Syndrome E. General Systems Theory F. Ethics, Liability and Advocacy G. Confidentiality H. Holistic Interaction I. Nursing Process J. Theoretical Framework of Nursing K. Prevention L. Clinical Testing M. Client Rights N. Cultural Considerations O. Psychiatric Disorders VI. Nurse/Patient Relationships in Psychiatric Nursing A. Therapeutic Communication B. Therapeutic Climate C. Facilitating Therapeutic Communication D. Nursing Process E. Communications F. Treatment Modalities G. Structuring Therapeutic Milieu H. Models of Nursing Delivery I. Assessment of Mental Illness VII. Specific Psychiatric Disorders A. Schizophrenia B. Affective Disorders C. Chemical Dependency D. Antisocial and Personality Disorders E. Neurotic (Anxiety) Disorders VIII. Clinical Transition Concepts A. Process Recordings in Nurse/Patient Relationships B. Client Care Plans C. Ethical Issues D. Treatment Modalities E. Pharmacology F. Group Therapy G. Legal Responsibilities H. Suicide I. Electroconvulsive Therapy J. Borderline Conditions K. Cultural and Ethnic Considerations IX. Basic Concepts Related to the Childbearing Family A. Antepartum B. Intrapartum C. Postpartum D. Neonate E. Maternal Nutritional Needs F. Infant Nutritional Needs G. Perinatal Pharmacologic Considerations H. Expanding Roles in Perinatal Nursing X. Advanced Concepts Related to the Childbearing Family A. Perinatal Assessment of Risk Factors B. Monitoring Fetal Well-Being C. Hypertensive States in Pregnancy D. Perinatal Infections E. Bleeding Complications F. Endocrine Complications G. Medical/Surgical Complications H. Intrapartal Complications I. Preterm Labor J. Psychosocial Complications K. Neonatal Conditions and Complications XI. Application of Nursing Process for High-Risk Clients and Families A. Assessment B. Nursing Diagnosis C. Planning D. Implementation E. Evaluation XII. Individualization of Client Care A. Contemporary Issues B. Cultural and Ethical Considerations C. Individual and Family Stress Adaptation D. Loss and Grief E. Adolescent Pregnancy and Parenthood

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